Mild head injuries: Impact of a national strategy for implementation of management guidelines
(2003) In Journal of Trauma 55(6). p.1029-1034- Abstract
- Background. A national survey in 1996 showed insufficient routines for management of patients with mild head injuries in Norwegian hospitals. Since then, the Scandinavian Guidelines for Management of Mild Head Injuries have been published. Methods. A cross-sectional questionnaire survey of management practice was performed in all 59 hospitals in 2002. We compared the results with figures from 1996 and evaluated guideline compliance. Results. The proportion of noncompliant hospitals was reduced (p = 0.02) from 52% to 31%. The proportion assessing the patient's level of consciousness according to the Glasgow Coma Scale increased (p = 0.001) from 49% to 80%. The proportion requiring a normal computed tomographic scan if a patient with a... (More)
- Background. A national survey in 1996 showed insufficient routines for management of patients with mild head injuries in Norwegian hospitals. Since then, the Scandinavian Guidelines for Management of Mild Head Injuries have been published. Methods. A cross-sectional questionnaire survey of management practice was performed in all 59 hospitals in 2002. We compared the results with figures from 1996 and evaluated guideline compliance. Results. The proportion of noncompliant hospitals was reduced (p = 0.02) from 52% to 31%. The proportion assessing the patient's level of consciousness according to the Glasgow Coma Scale increased (p = 0.001) from 49% to 80%. The proportion requiring a normal computed tomographic scan if a patient with a history of loss of consciousness was to be sent home from the accident and emergency department increased (p < 0.001) from 1 (2%) to 13 (19%). Conclusion. The Scandinavian Guidelines for Management of Mild Head Injuries have had a significant impact on management practice in Norwegian hospitals. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/290980
- author
- Muller, K ; Waterloo, K ; Romner, Bertil LU ; Wester, K and Ingebrigtsen, T
- organization
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- implementation, guidelines, head injury, management, guideline, compliance
- in
- Journal of Trauma
- volume
- 55
- issue
- 6
- pages
- 1029 - 1034
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- pmid:14676646
- wos:000187666200005
- scopus:0347361310
- pmid:14676646
- ISSN
- 0022-5282
- DOI
- 10.1097/01.TA.0000100371.49160.2A
- language
- English
- LU publication?
- yes
- id
- d6d95aa2-9422-47fc-959d-4d5ed4318573 (old id 290980)
- date added to LUP
- 2016-04-01 16:19:13
- date last changed
- 2022-01-28 18:50:29
@article{d6d95aa2-9422-47fc-959d-4d5ed4318573, abstract = {{Background. A national survey in 1996 showed insufficient routines for management of patients with mild head injuries in Norwegian hospitals. Since then, the Scandinavian Guidelines for Management of Mild Head Injuries have been published. Methods. A cross-sectional questionnaire survey of management practice was performed in all 59 hospitals in 2002. We compared the results with figures from 1996 and evaluated guideline compliance. Results. The proportion of noncompliant hospitals was reduced (p = 0.02) from 52% to 31%. The proportion assessing the patient's level of consciousness according to the Glasgow Coma Scale increased (p = 0.001) from 49% to 80%. The proportion requiring a normal computed tomographic scan if a patient with a history of loss of consciousness was to be sent home from the accident and emergency department increased (p < 0.001) from 1 (2%) to 13 (19%). Conclusion. The Scandinavian Guidelines for Management of Mild Head Injuries have had a significant impact on management practice in Norwegian hospitals.}}, author = {{Muller, K and Waterloo, K and Romner, Bertil and Wester, K and Ingebrigtsen, T}}, issn = {{0022-5282}}, keywords = {{implementation; guidelines; head injury; management; guideline; compliance}}, language = {{eng}}, number = {{6}}, pages = {{1029--1034}}, publisher = {{Lippincott Williams & Wilkins}}, series = {{Journal of Trauma}}, title = {{Mild head injuries: Impact of a national strategy for implementation of management guidelines}}, url = {{http://dx.doi.org/10.1097/01.TA.0000100371.49160.2A}}, doi = {{10.1097/01.TA.0000100371.49160.2A}}, volume = {{55}}, year = {{2003}}, }